| NPI | 1407391766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP139107) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NC 213955) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2024-02-25 |